Eosinophilic esophagitis (EoE) is a chronic condition where an overgrowth of eosinophils, a type of white blood cell, causes inflammation in the esophagus. This can lead to difficulty swallowing, food impaction, and discomfort. While biologic medications are an important treatment option for EoE, managing your diet is also essential in controlling symptoms. A proper diet can work alongside biologics to provide relief and prevent flare-ups. Here’s how to manage your EoE diet while using biologics.
Understand Your Food Triggers
Food allergies or sensitivities are often linked to EoE flare-ups. Even when using biologics to control inflammation, certain foods may still cause irritation to the esophagus. Common trigger foods for EoE include dairy, wheat, eggs, nuts, and soy. Work with your healthcare provider to identify specific food triggers through allergy tests or elimination diets. Once identified, avoid these foods to help reduce symptoms.
Focus on an Anti-Inflammatory Diet
An anti-inflammatory diet can complement biologic treatments by helping to reduce inflammation in the body. Foods rich in omega-3 fatty acids, such as salmon, flaxseeds, and walnuts, are known to have anti-inflammatory properties. Additionally, fruits and vegetables that are high in antioxidants, like berries, spinach, and broccoli, can help support your body’s healing process.
Keep a Food Diary
Keeping a food diary is an excellent way to track what you eat and how it affects your symptoms. By writing down what you eat and noting any flare-ups or discomfort, you can identify patterns that help you better manage your EoE diet. This can be particularly useful when you are on biologic medications, as it helps ensure the diet and medication work together effectively.
Stay Hydrated
Drinking plenty of water is essential for maintaining a healthy esophagus, especially when managing EoE. Biologics may help control inflammation, but staying hydrated can help prevent food from getting stuck and soothe the irritation in your throat. Avoid sugary or acidic drinks, as they can worsen symptoms.
Consider Working with a Dietitian
A dietitian can be a valuable resource when managing your EoE diet, especially when you’re using biologics. They can help you create a balanced meal plan that meets your nutritional needs while avoiding trigger foods. A dietitian can also help you explore alternatives to eliminate common allergens, ensuring you’re still getting a variety of essential nutrients.
Plan for Meals Carefully
Meal planning is key to managing EoE. Make sure that you prepare meals in advance and avoid eating out too often, as restaurants may not have information on potential allergens in their dishes. Cooking at home gives you full control over what goes into your food, making it easier to avoid any harmful ingredients that could worsen your symptoms.
Watch for Side Effects of Biologics
Although biologic treatments are effective, they can have side effects such as nausea or stomach discomfort. These side effects can be made worse by certain foods. Pay attention to how your body reacts to both biologics and specific foods, and adjust your diet accordingly to minimize any discomfort.
Managing your diet while using biologics for EoE can significantly improve your quality of life. By being mindful of food triggers, eating an anti-inflammatory diet, and working with a healthcare team, you can better control symptoms and enjoy better digestive health.